Financial Counselor - Patient Financial Services SVHC - FT - Day

Schedule:

Full time - 36 hours/week or greater

Shift:

First Shift (Days - Less than 12 hours per shift) (United States of America)

Weekly Work Schedule:

8-5

Job Information
Exemption Status: Non-Exempt

A Brief Overview
Under direction, responsible for processing of self-pay account balances through final account resolution. This responsibility includes self pay follow-up, including evaluating financial situations in order to arrange appropriate methods of account resolution including full payment, payment plans, financial assistance screening and bad debt screening and placement. In addition, assists with other duties as assigned.

These activities are completed following established policies and procedures, and in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct.

Education Qualifications

• High School Diploma GED also accepted. Required
• Associate's Degree Preferred

Experience Qualifications

• 3 years Healthcare financial services, healthcare registration services or related healthcare experience. Required

Skills and Abilities

• Working knowledge of basic medical terminology. (Preferred proficiency)
• Detailed knowledge of major third-party billing and contract requirements. (Required proficiency)
• Keyboarding skill or typing skill of at least 30 wpm. (Preferred proficiency)
• Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or government regulations. Superior written and oral communication skills. Ability to effectively present information and respond to questions from management, physicians, employees and the general public.
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages. Ability to apply concepts of basic Algebra.
• Exhibits a positive attitude with a professional and pleasant demeanor when communicating with all customers and providing information.

What you will do

• Understands technical primary and secondary billing requirements for assigned third party payors and contracts. Understands the Medical and Clinical services provided by the organization.
• Follows-up on unpaid accounts for self-pay via correspondence, e-mail and internet utilizing system work lists and system reports.
• Negotiates financial resolution on unresolved patient liabilities through proper sequencing of resolution options and patient’s ability/willingness to pay.
• Identifies and completes charity screening, when appropriate on post service accounts.
• Screen and place appropriate accounts in early out/pre-collection program. Review and reconcile accounts meeting collection criteria; place appropriate accounts in bad debt.
• Ensures necessary data, identified processing issues and related information is provided to departmental management, appropriate departments and individuals within the organization in a timely manner.
• Consistently uses diplomacy and respect both in person and when using the telephone, and performs effectively and professionally under stressful conditions.
• Ensures customer concerns are processed in compliance with organization's policies while maintaining the highest level of patient and employee rights, including confidentiality of patient information and personnel issues.
• Attends and participates at departmental team meetings, work-groups and other organizational educational programs.
• Identifies and notifies management of customer service issues and potential process/system problems that cause billing and payment errors and assists in improvement implementation as requested.
• Attends internal and external seminars for personal growth and development and shares pertinent information with other team members. Completes the annual mandatory in-services and other conditions of employment requirements. Reads and comprehends correspondence from government and third-party payors to keep abreast of new regulations, policies and billing and payment requirements.
• Assists with the revision or development of the department's internal documents, procedural manuals and forms, as requested.
• Process return mail, update accounts as necessary. Analyzes and resolves patient correspondence as assigned.
• Process estate claims, bankruptcies and Clinic terminations.

Required for All Jobs

• Performs other duties as assigned
• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health

Patient Facing Options

• Position is Not Patient Facing

Remote Work Gu